Abstract
Current immunotherapy of posterior uveitis is non-specific and limited by drug toxicity and unpredictable relapses on therapy. Alternative modes of therapy being investigated using the rat model of experimental autoimmune uveoretinitis (EAU) have included the induction of tolerance with oral administration of milligram quantities of retinal antigens. In this preliminary report we demonstrate that tolerance to retinal antigens can be induced via the upper respiratory tract with microgram doses of antigen, preventing subsequent induction of EAU.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Caspi R. R., Roberge F. G., Chan C. C., Wiggert B., Chader G. J., Rozenszajn L. A., Lando Z., Nussenblatt R. B. A new model of autoimmune disease. Experimental autoimmune uveoretinitis induced in mice with two different retinal antigens. J Immunol. 1988 Mar 1;140(5):1490–1495. [PubMed] [Google Scholar]
- Caspi R. R., Roberge F. G., McAllister C. G., el-Saied M., Kuwabara T., Gery I., Hanna E., Nussenblatt R. B. T cell lines mediating experimental autoimmune uveoretinitis (EAU) in the rat. J Immunol. 1986 Feb 1;136(3):928–933. [PubMed] [Google Scholar]
- De Kozak Y., Mirshahi M., Boucheix C., Faure J. P. Prevention of experimental autoimmune uveoretinitis by active immunization with autoantigen-specific monoclonal antibodies. Eur J Immunol. 1987 Apr;17(4):541–547. doi: 10.1002/eji.1830170417. [DOI] [PubMed] [Google Scholar]
- Donoso L. A., Merryman C. F., Sery T. W., Vrabec T., Arbizo V., Fong S. L. Human IRBP: characterization of uveitopathogenic sites. Curr Eye Res. 1988 Nov;7(11):1087–1095. doi: 10.3109/02713688809001879. [DOI] [PubMed] [Google Scholar]
- Dua H. S., Gregerson D. S., Donoso L. A. Inhibition of experimental autoimmune uveitis by retinal photoreceptor antigens coupled to spleen cells. Cell Immunol. 1992 Feb;139(2):292–305. doi: 10.1016/0008-8749(92)90072-w. [DOI] [PubMed] [Google Scholar]
- Dua H. S., Hossain P., Brown P. A., McKinnon A., Forrester J. V., Gregerson D. S., Donoso L. A. Structure-function studies of S-antigen: use of proteases to reveal a dominant uveitogenic site. Autoimmunity. 1991;10(2):153–163. doi: 10.3109/08916939109004819. [DOI] [PubMed] [Google Scholar]
- Dua H. S., Sewell H. F., Forrester J. V. The effect of retinal S-antigen-specific monoclonal antibody therapy on experimental autoimmune uveoretinitis (EAU) and experimental autoimmune pinealitis (EAP). Clin Exp Immunol. 1989 Jan;75(1):100–105. [PMC free article] [PubMed] [Google Scholar]
- Forrester J. V., Borthwick G. M., McMenamin P. G. Ultrastructural pathology of S-antigen uveoretinitis. Invest Ophthalmol Vis Sci. 1985 Sep;26(9):1281–1292. [PubMed] [Google Scholar]
- Forrester J. V. Endogenous posterior uveitis. Br J Ophthalmol. 1990 Oct;74(10):620–623. doi: 10.1136/bjo.74.10.620. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Forrester J. V., Liversidge J., Dua H. S., Towler H., McMenamin P. G. Comparison of clinical and experimental uveitis. Curr Eye Res. 1990;9 (Suppl):75–84. doi: 10.3109/02713689008999424. [DOI] [PubMed] [Google Scholar]
- Fox P. C., Siraganian R. P. IgE antibody suppression following aerosol exposure to antigens. Immunology. 1981 Jun;43(2):227–234. [PMC free article] [PubMed] [Google Scholar]
- Higgins P. J., Weiner H. L. Suppression of experimental autoimmune encephalomyelitis by oral administration of myelin basic protein and its fragments. J Immunol. 1988 Jan 15;140(2):440–445. [PubMed] [Google Scholar]
- Holt P. G., Batty J. E., Turner K. J. Inhibition of specific IgE responses in mice by pre-exposure to inhaled antigen. Immunology. 1981 Mar;42(3):409–417. [PMC free article] [PubMed] [Google Scholar]
- Holt P. G., McMenamin C. Defence against allergic sensitization in the healthy lung: the role of inhalation tolerance. Clin Exp Allergy. 1989 May;19(3):255–262. doi: 10.1111/j.1365-2222.1989.tb02380.x. [DOI] [PubMed] [Google Scholar]
- Liversidge J., Forrester J. V. Antigen processing and presentation in the eye: a review. Curr Eye Res. 1992;11 (Suppl):49–58. doi: 10.3109/02713689208999511. [DOI] [PubMed] [Google Scholar]
- Nussenblatt R. B., Caspi R. R., Mahdi R., Chan C. C., Roberge F., Lider O., Weiner H. L. Inhibition of S-antigen induced experimental autoimmune uveoretinitis by oral induction of tolerance with S-antigen. J Immunol. 1990 Mar 1;144(5):1689–1695. [PubMed] [Google Scholar]
- Nussenblatt R. B., Rodrigues M. M., Wacker W. B., Cevario S. J., Salinas-Carmona M. C., Gery I. Cyclosporin a. Inhibition of experimental autoimmune uveitis in Lewis rats. J Clin Invest. 1981 Apr;67(4):1228–1231. doi: 10.1172/JCI110138. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sedgwick J. D., Holt P. G. Induction of IgE-isotype specific tolerance by passive antigenic stimulation of the respiratory mucosa. Immunology. 1983 Dec;50(4):625–630. [PMC free article] [PubMed] [Google Scholar]
- Sedgwick J. D., Holt P. G. Induction of IgE-secreting cells and IgE isotype-specific suppressor T cells in the respiratory lymph nodes of rats in response to antigen inhalation. Cell Immunol. 1985 Aug;94(1):182–194. doi: 10.1016/0008-8749(85)90095-4. [DOI] [PubMed] [Google Scholar]
- Thepen T., McMenamin C., Oliver J., Kraal G., Holt P. G. Regulation of immune response to inhaled antigen by alveolar macrophages: differential effects of in vivo alveolar macrophage elimination on the induction of tolerance vs. immunity. Eur J Immunol. 1991 Nov;21(11):2845–2850. doi: 10.1002/eji.1830211128. [DOI] [PubMed] [Google Scholar]
- Thompson H. S., Staines N. A. Could specific oral tolerance be a therapy for autoimmune disease? Immunol Today. 1990 Nov;11(11):396–399. doi: 10.1016/0167-5699(90)90158-6. [DOI] [PubMed] [Google Scholar]
- Wetzig R., Hooks J. J., Percopo C. M., Nussenblatt R., Chan C. C., Detrick B. Anti-Ia antibody diminishes ocular inflammation in experimental autoimmune uveitis. Curr Eye Res. 1988 Aug;7(8):809–818. doi: 10.3109/02713688809033212. [DOI] [PubMed] [Google Scholar]
- de Kozak Y., Sakai J., Thillaye B., Faure J. P. S antigen-induced experimental autoimmune uveo-retinitis in rats. Curr Eye Res. 1981;1(6):327–337. doi: 10.3109/02713688108998359. [DOI] [PubMed] [Google Scholar]
- de Smet M. D., Yamamoto J. H., Mochizuki M., Gery I., Singh V. K., Shinohara T., Wiggert B., Chader G. J., Nussenblatt R. B. Cellular immune responses of patients with uveitis to retinal antigens and their fragments. Am J Ophthalmol. 1990 Aug 15;110(2):135–142. doi: 10.1016/s0002-9394(14)76981-8. [DOI] [PubMed] [Google Scholar]